{"id":6576,"date":"2023-06-27T16:07:53","date_gmt":"2023-06-27T15:07:53","guid":{"rendered":"https:\/\/perruchenautomne.eu\/wordpress\/?p=6576"},"modified":"2023-06-27T16:07:53","modified_gmt":"2023-06-27T15:07:53","slug":"pourquoi-il-a-une-insuffisance-renale-aigue-le-monsieur","status":"publish","type":"post","link":"https:\/\/perruchenautomne.eu\/wordpress\/2023\/06\/27\/pourquoi-il-a-une-insuffisance-renale-aigue-le-monsieur\/","title":{"rendered":"Pourquoi il a une insuffisance r\u00e9nale aigue le monsieur?"},"content":{"rendered":"\n<p>Quand j&rsquo;explique les causes d&rsquo;insuffisance r\u00e9nale aigue aux \u00e9tudiants, je conseille de se souvenir de l&rsquo;anatomie et de l&rsquo;histologie du rein. Je propose de se prendre pour une mol\u00e9cule d&rsquo;eau, en suivant le flux sanguin puis celui de l&rsquo;urine, on retrouve forc\u00e9ment la cause.<\/p>\n\n\n\n<p>Quand la cr\u00e9atinin\u00e9mie double et que le patient \u00e0 une douleur lombaire gauche faire une imagerie est une tr\u00e8s bonne id\u00e9e. Parfois on ne retrouve pas ce qu&rsquo;on suspectait. Un petit gif pour faire comme si vous pouviez d\u00e9rouler les images.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/face1-1.gif\" alt=\"aRG\" class=\"wp-image-6582\" width=\"639\" height=\"563\"\/><\/figure>\n\n\n\n<p>Et puis une reconstruction.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/reconstruction.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"935\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/reconstruction-1024x935.jpg\" alt=\"thrombus\n\" class=\"wp-image-6580\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/reconstruction-1024x935.jpg 1024w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/reconstruction-300x274.jpg 300w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/reconstruction-768x701.jpg 768w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2023\/06\/reconstruction.jpg 1078w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><\/figure>\n\n\n\n<p>Il s&rsquo;agit d&rsquo;un infarctus r\u00e9nal gauche, ceci revient \u00e0 avoir fait une n\u00e9phrectomie, expliquant l&rsquo;augmentation de la cr\u00e9atinin\u00e9mie sur des reins d\u00e9j\u00e0 un peu insuffisants. La fl\u00e8che sur la deuxi\u00e8me image montre le si\u00e8ge approximatif du thrombus. Devant une douleur lombaire ressemblant \u00e0 une colique n\u00e9phr\u00e9tique chez un patient avec un trouble du rythme, si il n&rsquo;y a pas de  lithiase sur le scanner non inject\u00e9, on pense \u00e0 pousser un peu de produit de contraste pour v\u00e9rifier que ce n&rsquo;est pas une douleur d&rsquo;infarctus. Ces images me rappelle <a href=\"https:\/\/www.kidney-international.org\/article\/S0085-2538(15)52358-2\/fulltext\">cette histoire<\/a>. Vous remarquerez comme j&rsquo;\u00e9tais cuistre \u00e0 l&rsquo;\u00e9poque.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Quand j&rsquo;explique les causes d&rsquo;insuffisance r\u00e9nale aigue aux \u00e9tudiants, je conseille de se souvenir de l&rsquo;anatomie et de l&rsquo;histologie du rein. Je propose de se prendre pour une mol\u00e9cule d&rsquo;eau, en suivant le flux sanguin puis celui de l&rsquo;urine, on &hellip; <a href=\"https:\/\/perruchenautomne.eu\/wordpress\/2023\/06\/27\/pourquoi-il-a-une-insuffisance-renale-aigue-le-monsieur\/\">Continuer la lecture <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[13,14],"tags":[2309,2308,2305,15,2306,2307],"class_list":["post-6576","post","type-post","status-publish","format-standard","hentry","category-medecine-2","category-nephrologie","tag-brodel","tag-hyrtl","tag-infarcus-renal","tag-insuffisance-renale-aigue","tag-ischemie","tag-thrombus"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1l1zM-1I4","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6576","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/comments?post=6576"}],"version-history":[{"count":7,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6576\/revisions"}],"predecessor-version":[{"id":6586,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/6576\/revisions\/6586"}],"wp:attachment":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/media?parent=6576"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/categories?post=6576"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/tags?post=6576"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}